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DR. KELLY GAYLE THORSTAD M.D.
NPI 1174508832
Pediatrics in Austin, TX

Active since December 14, 2005
12174 N MO PAC EXPY, SUITE A, AUSTIN, TX 78758(512) 833-7334(512) 833-7333 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Gayle Thorstad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY GAYLE THORSTAD M.D. (NPI 1174508832) is an individual pediatrics provider in Austin, Texas, licensed in Texas (L0651) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1174508832
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLY GAYLE THORSTADCredential: M.D.
Location Address12174 N MO PAC EXPY, SUITE AAustin, TX 78758-2910
Mailing Address12174 N Mo Pac Expy, Suite AAustin, TX 78758-2910 · (512) 833-7334 · Fax (512) 833-7333
Phone(512) 833-7334
Fax(512) 833-7333
Sole ProprietorYes
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 23, 2007
✔ NPI 1174508832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L0651
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12174 N MO PAC EXPY, Austin, TX 78758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE ROGERS, D.O., P.A.
Pediatrics
12174 N MO PAC EXPY, SUITE A
AUSTIN, TX 78758
Travis County (512) 833-7334
KELLY G THORSTAD MD PA
Pediatrics
12174 N MO PAC EXPY, SUITE A
AUSTIN, TX 78758
Travis County (512) 833-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Thorstad's NPI number?

The NPI number for Kelly Thorstad is 1174508832. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Kelly Thorstad located?

Kelly Thorstad practices at 12174 N Mo Pac Expy Suite A, Austin, TX 78758. The listed phone number is (512) 833-7334.

What is Kelly Thorstad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kelly Thorstad accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Kelly Thorstad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Thorstad was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.